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ANGELA KELLEY ELLLIS
NPI 1457129264
Counselor - School in Vicksburg, MS

Active since December 12, 2023
3444 WISCONSIN AVE, VICKSBURG, MS 39180(601) 638-0031(601) 638-1778 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angela Kelley Elllis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA KELLEY ELLLIS (NPI 1457129264) is an individual school provider in Vicksburg, Mississippi, licensed in Mississippi (159347) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1457129264
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NameANGELA KELLEY ELLLIS
Location Address3444 WISCONSIN AVEVicksburg, MS 39180-5331
Mailing Address3444 Wisconsin AveVicksburg, MS 39180-5331 · (601) 638-0031 · Fax (601) 638-1778
Phone(601) 638-0031
Fax(601) 638-1778
Sole ProprietorNo
Enumeration DateDecember 12, 2023
NPPES CertifiedDecember 12, 2023
✔ NPI 1457129264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
License✔ Licensed in MS · 159347
3444 WISCONSIN AVE, Vicksburg, MS 39180
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY SMITH
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
WARREN YAZOO MENTAL HEALTH SERVICE
Clinic/Center (Mental Health (Including Community Mental Health Center))
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
FELICIA WILSON PCMHT
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
HEATHER POTTS
Counselor (Addiction (Substance Use Disorder))
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
ROSALYN GLASCOE
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
ANN NELSON LSW
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
MILLICENT LEDBETTER
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
MADALENE J BARKSDALE-MAYFIELD
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Elllis's NPI number?

The NPI number for Angela Elllis is 1457129264. It was assigned to this individual provider in the NPPES registry on December 12, 2023.

Where is Angela Elllis located?

Angela Elllis practices at 3444 Wisconsin Ave, Vicksburg, MS 39180. The listed phone number is (601) 638-0031.

What is Angela Elllis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Angela Elllis was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.